Doctor Name: | MARY G CONWAY |
NPI Number: | 1497795629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070005954 |
Business Practice Address: | 71 W 156th St Suite 208 Harvey, IL - 604264260 |
Business Phone Number: | 7083313748 |
Business Fax Number: | 7083313605 |
Mailing Address: | Po Box 1119, MATTESON |
State: | IL |
Postal Code: | 604434119 |
Phone Number: | 7087475850 |
Fax Number: | 7087479991 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 01/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070005954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |